Individual
STEPHANIE RENE HARTNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1400 GAUSE BLVD STE 200, SLIDELL, LA 70458-2251
(985) 257-4090
(985) 214-4102
Mailing address
1400 GAUSE BLVD STE 200, SLIDELL, LA 70458-2251
(985) 257-4090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8715
LA
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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